Prognostic factors and survival in adult acute leukemia in Burkina Faso

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Introduction: Acute leukemia is both a diagnostic and therapeutic emergency. Our study aimed to describe the prognostic factors and survival of adults with acute leukemia in Burkina Faso.

Patients and methods: Cross-sectional descriptive study with retrospective data collection covering a period of 4.5 years (2018-2022) in two university hospitals in Burkina Faso. Were included all patients over 18 years hospitalized for acute leukemia in these sites with a usable medical record.

Results: A total of 42 cases were collected, of which 45% suffered from acute lymphoblastic leukemia and 43% from acute myeloid leukemia. In 12% of cases, acute leukemia was not classified. The average age was 35 ± 15 years, with extremes of 19 and 72 years. 12% of the patients presented an age of poor prognosis. Comorbidities were present in 14% of patients. The deterioration in general condition was fairly constant with 95% of patients at WHO stages 3 and 4. All patients presented with bone marrow failure syndrome and tumor syndrome was found in 45%. Anemia and thrombocytopenia were present in almost all cases. Hyperleukocytosis at diagnosis was present in 28 patients (67%); among them 18 patients (64%) had leukocytes greater than 50 G/L. Death in hospital was found in 38% of patients and loss of sight in 31%. The median survival was 3 months. Survival was 30% at 6 months and 0% at 12 months.

Conclusion: Acute leukemias are in our practice conditions of poor prognosis with a fairly short survival.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:3

Enthalten in:

Medecine tropicale et sante internationale - 3(2023), 3 vom: 30. Sept.

Sprache:

Französisch

Weiterer Titel:

Facteurs pronostiques et survie des leucémies aiguës de l'adulte au Burkina Faso

Beteiligte Personen:

Traoré, Catherine [VerfasserIn]
Nebié, Koumpingnin [VerfasserIn]
Sawadogo, Salam [VerfasserIn]
Sanou, Adjaratou Fabienne [VerfasserIn]
Héma, Arsène [VerfasserIn]
Kafando, Éléonore [VerfasserIn]

Links:

Volltext

Themen:

Acute leukemia
Adult
Burkina Faso
English Abstract
Journal Article
Prognosis
Sub-Saharan Africa
Survival

Anmerkungen:

Date Completed 16.12.2023

Date Revised 27.02.2024

published: Electronic-eCollection

Citation Status MEDLINE

doi:

10.48327/mtsi.v3i3.2023.409

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM365851906